Susan C, Martin CCC-SLP

NPI 1790836963 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790836963
Gender Female
Enumeration Date 01/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1200 N BEAVER ST
FLAGSTAFF AZ, 86001-3118, US
Phone (928) 773-2054
Fax (928) 773-2286
Business Location
1200 N BEAVER ST
FLAGSTAFF AZ, 86001-3118, US
Phone (928) 773-2054
Fax (928) 773-2286
Toxanomy
Taxonomy Code 235Z00000X
License State Arizona
License Number SLP1286
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According to our database, Susan C, Martin CCC-SLP NPI is 1790836963, taxonomy code is 235Z00000X and license number is SLP1286, license state is located at Arizona. Susan C, Martin CCC-SLP physically located at 1200 N Beaver St, Flagstaff AZ, 86001-3118. NPI Number Susan C, Martin CCC-SLP has the Individual type.

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1790836963 NPI number is provided on an as is basis without warranty of any kind. 1790836963 is maintained by the National Plan & Provider Enumeration System. The contents of Susan C, Martin CCC-SLP are for informational purposes only.